United Methodist Communities at Bristol Glen

In the surveyor’s words

From the most serious findings on record at United Methodist Communities at Bristol Glen, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 26, 2025

  Complaint # NJ 2565649Based on observation, interview, review of medical records, and other pertinent facility documents, it was determined that the facility failed to provide a safe environment and follow fall prevention interventions as written on the individual comprehensive care plan (ICCP) for 2 of 2 residents, (Resident #2 and Resident #5). Resident #2 was transferred with the use of a mechanical lift by one staff member, fell, sustained a head injury that required an emergency transfer to a hospital, and was admitted for 8 days with a laceration of the head that required 3 staples. This deficient practice was evidenced by the following: 1. Resident #2 was not in the facility during the survey. […]

• No harm, potential for more than minimal, isolatedF584Aug 26, 2025

  Based on observation, interview, and review of other pertinent facility documentation, it was determined that the facility failed to maintain the resident's room in a homelike manner.This deficient practice was identified on 1 of 3 Nursing Units (Sawmill) and was evidenced by the following: On 08/22/2025 at 11:10 AM, the surveyor entered Resident #25's room (room [ROOM NUMBER]B) and observed that the wall behind the headboard had large cracks and chipped paint across its entire surface. On 8/22/25 at 11:15 AM, during an interview with the surveyor, the Licensed Practical Nurse (LPN) on the Sawmill unit stated that she had been aware that the wall needed to be repaired, but had not informed the maintenance department, which she should have done. […]

• No harm, potential for more than minimal, isolatedF695Aug 26, 2025

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to administer oxygen therapy according to the physician's order for 1 of 1 Resident (Resident #1), reviewed for Respiratory therapy.This deficient practice was evidenced by the following:Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling and provision of care supportive to or restorative of life and wellbeing, and executing medical regimes… […]

• No harm, potential for more than minimal, isolatedF658May 22, 2024

  Based on observation, interview, and record review it was determined the facility failed to consistently follow standards of clinical practice with regards to: a.) following a physician's order as written for 1 of 15 residents (Resident # 1), and b.) completing neuro checks (an assessment of neurological status that must be done when a resident hits his or her head or if it is unknown if they hit their head) after a resident had a history of fall for 1 of 1 resident (Resident #14) reviewed for falls. The deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF695May 22, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to clarify a Physician's Order (PO) in accordance with professional standards of practice for 1 of 16 residents (Resident #16) reviewed. The deficient practice was evidenced by the following: 1. On 5/15/24 at 11:15 AM, the surveyor observed Resident #16 in a Geri-chair (a specialized chair designed specifically for seniors and individuals with limited mobility), receiving oxygen (O2) via nasal cannula (medical device to provide supplemental oxygen therapy to people who have lower oxygen levels) at 3 Liters Per Minute (LPM.) The surveyor reviewed the medical records of Resident #16, who was admitted to the facility with diagnoses that included but not limited to Human Metapneumovirus Pneumonia,… […]